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Table 2 Hazard ratios (95% confidence intervals) of depression, anxiety, and stress-related disorders during the year after cancer diagnosis, in relation to pre-diagnostic use of NSAIDs

From: Aspirin and other non-steroidal anti-inflammatory drugs and depression, anxiety, and stress-related disorders following a cancer diagnosis: a nationwide register-based cohort study

Group

1000 PYs

Event (IR)

Model 1a

Model 2b

Model 3c

No NSAIDs

174

3408 (19.6)

1.00

1.00

1.00

Aspirin

50

797 (16.1)

0.88 (0.80–0.96)

0.86 (0.79–0.95)

0.88 (0.81–0.97)

Non-aspirin NSAIDs

43

1145 (26.4)

1.26 (1.18–1.35)

1.27 (1.18–1.36)

1.24 (1.15–1.32)

Both NSAIDs

13

263 (20.9)

1.05 (0.91–1.20)

1.04 (0.91–1.19)

1.05 (0.92–1.20)

  1. Cancer patients with any diagnosis of depression, anxiety, or stress-related disorders, namely post-traumatic stress disorder, acute stress reaction, adjustment disorder, or other stress reactions before cancer diagnosis were excluded from the analysis. IRs were calculated by dividing the number of patients that received a diagnosis of depression, anxiety, and stress-related disorders by the number of person-years accumulated during follow-up. Multivariable Cox proportional hazard models were used to estimate the hazard ratios and 95% confidence intervals in relation to exclusive NSAID use, using no use of NSAIDs as the reference
  2. Abbreviations: PYs person-years, IR incidence rate per 1000 person-years
  3. aEstimates were adjusted for age, sex, calendar year of cancer diagnosis, educational level, occupation, region of residence, marital status, and Chronic Disease Score
  4. bEstimates were additionally adjusted for potential indications for NSAID use
  5. cEstimates were additionally adjusted for common cancer types and cancer stage, as well as subtypes of hematological malignancies (leukemia, lymphoma, myeloma, myelodysplastic syndrome, or myeloproliferative neoplasm)